Ikuta Y, Yoshioka K, Tsuge K
Aust N Z J Surg. 1980 Aug;50(4):401-5. doi: 10.1111/j.1445-2197.1980.tb04149.x.
Eight cases of free muscle transfer with the use of microsurgical technique are reported, comprising five patients with Volkmann's contracture of the forearm, two with poliomyelitis, and one with an old brachial plexus injury. Operation was successful in the six patients with traumatic injuries, but proved unsuccessful in the two with poliomyelitis. Generally, the vessels and nerves of the recipient site were anastomosed with their counterparts in the grafted muscle. In one patient with an old brachial plexus paralysis in whom nerves in the recipient site could not be used, muscle graft an intercostal nerve transfer procedures were employed. In six cases, only muscle was transferred, and in two cases, the muscle together with an overlying skin flap was removed to reduce tension of the skin at the recipient site.
报告了8例应用显微外科技术进行游离肌肉移植的病例，其中包括5例前臂Volkmann挛缩患者、2例小儿麻痹症患者和1例陈旧性臂丛神经损伤患者。6例创伤性损伤患者手术成功，但2例小儿麻痹症患者手术失败。一般来说，受区的血管和神经与移植肌肉中的对应血管和神经进行吻合。1例陈旧性臂丛神经麻痹患者，因受区神经无法利用，采用了肌肉移植加肋间神经移位手术。6例仅移植肌肉，2例同时切除肌肉及覆盖的皮瓣，以减轻受区皮肤张力。
